Individual
AHLA HUSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1403 MEDICAL PLAZA DR STE 207, SANFORD, FL 32771-1047
(321) 364-0728
(321) 364-0729
Mailing address
1403 MEDICAL PLAZA DR STE 207, SANFORD, FL 32771-1047
(321) 364-0728
(321) 364-0729
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1363PA
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1363
PHYSICIAN ASSISTANT
—
Enumeration date
08/26/2022
Last updated
08/26/2022
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